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A Study of Intravesical SHR-1501 Combination With BCG Versus Investigator-selected Chemotherapy in Subjects With BCG-unresponsive NMIBC

A Multicenter, Randomized, Open-label Phase III Clinical Study of Intravesical SHR-1501 Combined With Bacillus Calmette Guerin (BCG) Versus Investigator-selected Chemotherapy In Patients With BCG-unresponsive Papillary-Only Non-muscle-invasive Bladder Cancer (NMIBC) (NiBladder 1)

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07424287
Enrollment
236
Registered
2026-02-20
Start date
2026-07-13
Completion date
2030-06-01
Last updated
2026-07-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

NMIBC

Brief summary

This is a multicenter, randomized, open-label phase III study to determine the efficacy and safety of intravesical SHR-1501 combined with Bacillus Calmette Guerin (BCG) versus investigator-selected chemotherapy in patients with BCG-unresponsive papillary-only non-muscle-invasive bladder cancer (NMIBC).

Interventions

DRUGSHR-1501 for Injection

SHR-1501 for injection.

DRUGBCG for Injection

Bacillus calmette guerin (BCG) for injection.

DRUGEpirubicin Hydrochloride for Injection

Epirubicin hydrochloride for injection.

DRUGPirarubicin Hydrochloride for Injection

Pirarubicin hydrochloride for injection.

DRUGGemcitabine Hydrochloride for Injection

Gemcitabine hydrochloride for injection.

DRUGHydroxycamptothecin for Injection

Hydroxycamptothecin for injection.

DRUGMitomycin for Injection

Mitomycin for injection.

Sponsors

Suzhou Suncadia Biopharmaceuticals Co., Ltd.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Intervention model description

A randomized, positive controlled, open-label study.

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

1. Aged at least 18 years, gender is not limited; 2. Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2; 3. Histologic confirmation of high-risk non-muscle invasive bladder cancer (high-grade Ta and/or any T1, no carcinoma in situ); BCG-unresponsive; 4. Cystoscopy within 6 weeks before the randomization shows that the lesion has been completely removed; for T1 stage lesions, pathological results must show the presence of bladder muscle tissue; 5. Not suitable for or unwilling to undergo radical cystectomy; 6. Sufficient hematology and organ function.

Exclusion criteria

1. Previous histopathological diagnosis was muscle-invasive, locally advanced or metastatic urothelial carcinoma (T2 or T3 or T4 or N+ or M+); 2. Received surgery such as TURBT or radiotherapy for bladder lesions within 2 weeks before the randomization; Major surgery was performed within 28 days before randomization; 3. Those who have previously received the following treatments and have not experienced disease recurrence or progression before enrolment: a) Intravesical infusion of cytotoxic chemotherapy or other drugs (such as oncolytic viruses), etc; b) Immune checkpoint inhibitors; c) Other investigatory drugs for the treatment of NMIBC; 4. Those who have previously received immunostimulant therapy; 5. Upper urinary tract tumor detected by CTU or MRU during screening period, urethral prostate tumor detected by cystoscopy, or other concomitant malignant tumors within 5 years before the first administration; 6. Previous medical history or examination suggests active tuberculosis within 1 year prior to the randomization.

Design outcomes

Primary

MeasureTime frameDescription
Disease-Free Survival (DFS) assessed by Blinded Independent Central Review (BICR)Up to approximately 5 years.Disease free survival is defined as the time from randomization to date of DFS event assessed by BICR.

Secondary

MeasureTime frameDescription
Disease-Free Survival (DFS) assessed by investigatorUp to approximately 5 years.Disease-free survival (DFS) is defined as the time from randomization to date of DFS event assessed by investigator.
Overall Survival (OS)Up to approximately 5 years.Overall Survival (OS) is defined as the time from randomization to date of death from any cause.
Number of adverse events (AEs) as assessed by CTCAE v6.0.Up to approximately 5 years.
Number of serious adverse events (SAEs) as assessed by CTCAE v6.0.Up to approximately 5 years.

Countries

China

Contacts

CONTACTWenliang Wang
wenliang.wang@hengrui.com+86-0518-82342973
CONTACTQi Zhang
qi.zhang@hengrui.com+86-021-60453139

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jul 21, 2026